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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHEL MARIE WICKSALL DDS PLC

Active Organization

MICHEL MARIE WICKSALL DDS PLC is a General Dentistry organization located in GRAND RAPIDS, Michigan. NPI 1053984591 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · GRAND RAPIDS, MI

Registration Details

NPI Number
1053984591
Provider Type
Organization
NPI Issued
Jul 22, 2021 (5.0896496990713 yrs)
Last Updated
Jul 22, 2021

Practice Information

Address
4880 CASCADE RD SE STE B
GRAND RAPIDS, MI, 495463701
Browse MI providers · Browse ZIP 49546
Phone
6169759700
Fax
6169759750
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in GRAND RAPIDS, MI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.